<h1>eine Frage zu "<em>{$PRODUCTS_NAME}</em>" stellen</h1>
{$ASK_FORM}
	{$info}
	<div data-role="fieldcontain">
		<label for="name_user">
			Ihr Name:
		</label>
		{$NAME_USER|replace:'name="name_user"':'name="name_user" id="name_user"'}
	</div>
	<div data-role="fieldcontain">
		<label for="email_user">
			Ihre Email:
		</label>
		{$EMAIL_USER|replace:'name="email_user"':'name="email_user" id="email_user"'}
	</div>
	<div data-role="fieldcontain">
		<label for="user_question">
			Ihre Frage:
		</label>
		{$TEXT_AREA|replace:'name="user_question"':'name="user_question" id="user_question"'}
	</div>
	{$INPUT_CHECK_CALLBACK|replace:'name="callback"':'name="callback" id="callback"'}<label for="callback">Sie wünschen einen Rückruf?</label>
	<div data-role="fieldcontain">
		<label for="telephone">
			Telefon-Nr:
		</label>
		{$TELEPHONE|replace:'name="telephone"':'name="telephone" id="telephone"'}
	</div>
	<div data-role="fieldcontain">
		<label for="callback_date">
			Wann?
		</label>
		<input type="date" name="callback_date" id="callback_date" data-role="datebox" data-options='{ "mode": "flipbox","calTodayButton": true }' />
	</div>
	<div data-role="fieldcontain">
		<label for="callback_time">
			Uhrzeit, ab:
		</label>
		<input type="text" name="callback_time" id="callback_time" style="width: 80px;" />
	</div>
		{$BUTTON_SEND|replace:'class="css_img_button"':'class="css_img_button" data-role="button" data-theme="b"'}
</form>